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Individual

DR. JASON R JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
97 GULF ST, MILFORD, CT 06460-4812
(203) 877-4198
(203) 877-6394
Mailing address
97 GULF ST, MILFORD, CT 06460-4812
(203) 877-4198
(203) 877-6394

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1371
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050001371CT02
ANTHEM PROVIDER NUMBER
CT
01
1998049
UNITED HEALTH PROVIDER NO
CT
01
3191251
AETNA PROVIDER NUMBER
CT
01
P2188667
OXFORD PROVIDER NUMBER
CT
Enumeration date
01/02/2007
Last updated
07/09/2007
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